- Dignity Health (Bakersfield, CA)
- … customer resolution is complete - Lead investigations into claims overpayments, underpayments, and billing issues, ensuring accurate identification and ... **Responsibilities** The Claims Research Specialist will oversee and manage research...overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate and timely… more
- ICW Group (Pleasanton, CA)
- …work cadence, ensuring excellent performance and outcomes in delivery and customer service . **SUPERVISORY RESPONISBILITIES** Directly supervises a team of ... of our journey as we strive to transform the insurance carrier space. We're proud to be in business...here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads a team of specialized complex… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Trainee | In-office (Roseville, CA) Are you looking ... industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL...preferred. **EXPERIENCE** Prior education, experience, or knowledge of: * Customer Service * Data Entry * Medical… more
- Highmark Health (Sacramento, CA)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation - Telecommute CA Are you looking ... of a rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to… more
- CVS Health (Sacramento, CA)
- …ability to effectively communicate with claimants and attorneys. . Possess excellent customer service skills and behaviors and demonstrated ability to ... . 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance carrier, third party … more
- Sedgwick (Roseville, CA)
- …college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: * Customer Service * Data Entry * Medical Terminology (preferred) * ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative… more
- Sedgwick (Rancho Cordova, CA)
- …the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative ... of a rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant Manager - Workers Compensation | Roseville, CA Are you ... + Apply your knowledge and experience to adjudicate complex customer claims in the context of an...growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global… more
- The Hartford (CA)
- …by state + Outstanding interpersonal skills + Strong focus delivering outstanding customer service + Demonstrated strong written and verbal communication skills ... make a difference and are proud to be an insurance company that goes well beyond coverages and policies....Representative, you are at the front lines for our customer . Your primary role is to investigate and manage… more